| NPI | 1164919106 |
|---|---|
| Former Name | TABETHA ANN SCHROEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA11156) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-06-16 |